Is J01 a billable ICD-10-CM code?

No. J01 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does J01 sit in the tabular list?

Diseases of the respiratory system (J00-J99), in the block Acute upper respiratory infections (J00-J06).

What cannot be coded together with J01?

J01 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

J01

J01 — Acute sinusitis

Non-billable headerICD-10-CM

J01 is a non-billable header ICD-10-CM code for acute sinusitis. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

sinusitis NOS (J32.9)

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

chronic sinusitis (J32.0-J32.8)

Use additional code

Add a secondary code to capture the detail described below.

code (B95-B97) to identify infectious agent.

Includes

Conditions this code covers.

acute abscess of sinus
acute empyema of sinus
acute infection of sinus
acute inflammation of sinus
acute suppuration of sinus

Risk adjustment

J01 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead J01

7 child codes. Green means billable.

Questions about J01

Is J01 a billable ICD-10-CM code?: No. J01 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does J01 sit in the tabular list?: Diseases of the respiratory system (J00-J99), in the block Acute upper respiratory infections (J00-J06).
What cannot be coded together with J01?: J01 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.